MEMBERSHIP – NEW and AMENDED DETAILS

 

PLEASE RETURN THIS FORM TO KEMP TOWN SOCIETY,

C/O 4 SUSSEX SQUARE, BRIGHTON BN2 1FJ

Dear Membership Secretary

I wish to become a member of the KEMP TOWN SOCIETY.  I understand you are a registered charity with Conservation aims and my subscription will be £10 per family per year.  I wish to pay my subscription by Standing Order/cash* each year and I would/would not* like you to reclaim Gift Aid on it and any other donations I may make.  I have/have not* completed the forms below accordingly.

* delete as appropriate

GIFT AID DECLARATION  -   for past, present and future donations 

Name of Charity: KEMP TOWN SOCIETY, Charity Number 1146155

Please treat as Gift Aid donation all qualifying gifts of money made (please tick) : today…., in the past 4 years….,  in the future….

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs), that I donate to, will reclaim on my gifts for that tax year.  I understand that other taxes such as VAT and Council Tax do not qualify.  I understand the charity will claim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008

DONOR’S DETAILS: Title………First Name……..……………….…..…Surname……………………..

Full address………………………………………………………………………………………………………………

Post code…….……….…………

Date………..……………..……

Signature…………………………….………………………………………………………..

Tel No……………………………….……..

Email address………………………………….………….………………..……………(for our records only)

STANDING ORDER INSTRUCTION:

To: The Manager……………………………………………………………………………………………….Bank

Address : ………………………………………………………………………………………………………………….

From:

Name………………………………………………………………………..Signed…………………………………..

Address…………………………………………………………………………………………………………………

Dear Sir

Please pay KEMP TOWN SOCIETY      £10.00 per annum

Account Number 20907868       Sort Code: 30-94-63

From Account Number………………………….…… Sort Code: ..…..- …….- …….

As from ………………………..(date)

OR: I enclose £10 (Cheque payable to KEMP TOWN SOCIETY)

Membership

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